| Organization Name: | REGINA MILLER SOCIAL SERVICES LLC |
| NPI Number: | 1013361070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REGINA MARIE MILLER (OWNER) |
| Mailing Address: | 110 E State St Kennett Square |
| State: | PA US |
| Postal Code: | 193483100 |
| Phone Number: | 6103318371 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2016 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | CW015998 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |