| NPI | 1659009587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEASON GOODPASTURE Executive Director 760-638-9668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-06-30 |