| NPI | 1861886475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA LOMBARDI GOOD Owner 760-576-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 27399) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2017-05-03 |