| NPI | 1528819505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA DAVIS Speech Language Pathologist,Owner 909-313-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |