| NPI | 1891901237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND L THILE Director 619-574-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP1570) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |