| NPI | 1588515381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR BULLEY-SMITH Recovery Specialist 1 661-868-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2026-02-06 |
| Last Update Date | 2026-02-06 |