| NPI | 1841677721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEKOLE AMBER EATON Occupational Therapist 805-407-5395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 14458) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |