| NPI | 1790058485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE WELLS Owner 805-705-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS12884) |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |