| NPI | 1952018350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEENA M CEBALLOS Mgr 562-489-4125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |