NPI | 1972855203 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN O'CONNOR Chief Executive Officer 714-821-3620 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 30-66472-69377437) |
Additional Taxonomies | 261QA3000X Clinic/Center, Augmentative Communication (Licence: CA 30-66472-69377437) |
261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 30-66472-6937437) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 30-66472-6937437) | |
261QP2000X Clinic/Center, Physical Therapy (Licence: CA 30-66472-6937437) | |
Enumeration Date | 2012-10-10 |
Last Update Date | 2012-10-10 |