| NPI | 1821795451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL TROCCOLI Executive Director 909-475-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |