| NPI | 1598543076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSA NAVA Speech Language Pathologist 909-260-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |