Organization
HEARTS OF FREEDOM WELLNESS RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN BERNARD LCSW (OWNER)
(559) 408-4523
Entity
Organization
Contact information
Practice address
35563 OAK SPRINGS RD, TOLLHOUSE, CA 93667-9610
(559) 269-3959
Mailing address
35563 OAK SPRINGS RD, TOLLHOUSE, CA 93667-9610
(559) 269-3959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5258757
CA ENTITY NO.
CA
Enumeration date
02/13/2023
Last updated
02/13/2023
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