| NPI | 1861617722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MORRIS BACON Director Of Services , Owner 408-358-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2016-08-08 |