| NPI | 1619426145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELA CALATAYUD Director 626-487-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS14705) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |