| NPI | 1861178089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELLE MARTINEZ President 562-441-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |