| NPI | 1811884521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA OCHOA Administrator 872-400-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |