NPI | 1750458485 |
---|---|
Other Name | DEVELOPMENTAL EVALUATION CLINCI |
Entity Type | Organization |
Authorized Contact | JEFFERY R. OLSON Supervisor Dev Srvs Operations 858-966-5416 |
Organization Subpart ? | No |
Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: CA 080000028) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
282NC2000X General Acute Care Hospital, Children (Licence: CA PSY11584) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2011-06-03 |