| Stillwater Group Inc | |
|
2100 N Sepulveda Blvd Suite 30 Manhattan Beach CA 90266-2948 | |
| (310) 378-2520 | |
| Not Available |
| Full Name | Stillwater Group Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2100 N Sepulveda Blvd, Manhattan Beach, California |
| Authorized Official Name and Position | Virginia C Green (CEO) |
| Authorized Official Contact | 3103782520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Group Inc 2100 N Sepulveda Blvd Suite 30 Manhattan Beach CA 90266-2948 Ph: (310) 378-2520 | Stillwater Group Inc 2100 N Sepulveda Blvd Suite 30 Manhattan Beach CA 90266-2948 Ph: (310) 378-2520 |
| NPI Number | 1154746170 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154746170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFT35443 (California) | Primary |
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