| NPI | 1659685717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN LOUISE SIDDIQI Director 805-925-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 5631) |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2014-09-08 |