| NPI | 1568988160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNA BRENTS Owner 916-792-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 15322) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |