| NPI | 1609658855 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRIDGET MORGAN Co Owner 951-294-2800  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| Enumeration Date | 2023-10-20 | 
| Last Update Date | 2023-10-20 |