| NPI | 1558110650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL BUNCH CEO 818-621-0379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-16 |