| NPI | 1972478170 |
|---|---|
| Doing Business As | TIERRA LUZ COMMUNITY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN JUDITH BACA LEANOS Chief Operating Officer 661-510-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |