NPI | 1083784318 |
---|---|
Former Legal Business Name | GEORGE L WARREN MD CAROL K MILLER LCSW |
Entity Type | Organization |
Authorized Contact | CAROL K MILLER Secretary For Pa 727-298-8338 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |