NPI | 1558691014 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MCRORY CEO 818-501-8352 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 103K00000X Behavior Analyst |
106H00000X Marriage & Family Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225XP0200X Occupational Therapist, Pediatrics | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-01-06 |