| NPI | 1730571928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NICOLE MALDONADO Director 951-595-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 20080) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist (Licence: CA 15667) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2020-01-09 |