| NPI | 1619371226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE CAPITO WINTERS Owner 805-651-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008191) |
| Enumeration Date | 2014-10-11 |
| Last Update Date | 2014-10-11 |