| NPI | 1700104502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TAYLOR Director/Speech Language Pathologis 760-717-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: AZ SLP4761) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |