| NPI | 1720339815 |
|---|---|
| Other Name | MAZDA INFANT-TODDLER DEVELOPMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PERVEEN M. KATRACK Owner 661-481-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP-15203) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA 15203) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2014-09-30 |