NPI 1396214615

Tetra Health Care

Organisation Developmentally Disabled Services Day Training Agency Los Angeles, CA

Practice location

Address: 10714 Woodbine St APT 4, Los Angeles, CA 90034-5423
Phone: (310) 925-5542

Authorised official

Name: Geraldine Lise Essombe
Title: Bcba
Phone: (310) 925-5542

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in California →

Registry record

NPI: 1396214615
Entity type: Organization
NPI issued: 15 Nov 2018
Record last updated: 15 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.