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 |