| NPI | 1578740890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI JAYE ACHONDO CEO 909-575-8078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 8320) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34934) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 8320) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 15876) | |
| 252Y00000X Early Intervention Provider Agency (Licence: CA 8320) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2023-07-06 |