| NPI | 1518749001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITIE MARIE CARPENTER CEO 714-864-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-23 |