| NPI | 1487148326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEVEN CARUCCI Executive Director 858-571-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-18 |