Organization
GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA
Active
Parent organization
GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA
Other names
Assistive Technology Exchange Center (ATEC)
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA
Authorized official
MR. FRANK TALARICO (PRESIDENT & CEO)
(714) 547-6301
Entity
Organization
Contact information
Practice address
1601 E SAINT ANDREW PL, SANTA ANA, CA 92705-4932
(714) 361-6200
(714) 361-6220
Mailing address
1601 E SAINT ANDREW PL, SANTA ANA, CA 92705-4932
(714) 361-6200
(714) 361-6220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT7512
CA
235Z00000X
Speech-Language Pathologist
SP18100
CA
235Z00000X
Speech-Language Pathologist
Primary
SP4388
CA
Other
Enumeration date
03/26/2008
Last updated
06/27/2012
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