| NPI | 1245528850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA C MILLER Mental Health Counselor 818-209-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2011-07-19 |