| Organization Name: | BELLA VITA CHILDREN AND FAMILY SERVICES |
| NPI Number: | 1518305648 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REGINA RAE SIEZ (CEO/DIRECTOR) |
| Mailing Address: | 31570 Railroad Canyon Rd Suite 202 Canyon Lake |
| State: | CA US |
| Postal Code: | 925879444 |
| Phone Number: | 9517571528 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2013 |
| NPI Last Update Date: | 06/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS 25660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |