| NPI | 1518580505 |
|---|---|
| Former Legal Business Name | TIFFANY MILLER LLC |
| Entity Type | Organization |
| Authorized Contact | TIFFANY MILLER Licensed Mental Health Counselor 808-781-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2021-09-30 |