| NPI | 1811367436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA VANESS ORTIZ Medical Social Worker 805-604-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA LCSW68432) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |