Provider Demographics
NPI:1659009587
Name:ACORNS TO OAK TREES
Entity Type:Organization
Organization Name:ACORNS TO OAK TREES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SEASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODPASTURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-638-9668
Mailing Address - Street 1:35008 PALA TEMECULA RD # 470
Mailing Address - Street 2:
Mailing Address - City:PALA
Mailing Address - State:CA
Mailing Address - Zip Code:92059-2419
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:37111 PALA TEMECULA RD.
Practice Address - Street 2:
Practice Address - City:PALA
Practice Address - State:CA
Practice Address - Zip Code:92059
Practice Address - Country:US
Practice Address - Phone:760-638-9668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty