| NPI | 1790969699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN KAYE KEENEY Clinical Director 209-576-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 13753) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-04-08 |