Provider Demographics
NPI:1760002430
Name:THE VIRTUOUS WOMAN, INC
Entity Type:Organization
Organization Name:THE VIRTUOUS WOMAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:MANNS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:310-270-7520
Mailing Address - Street 1:1630 CENTINELA AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-6950
Mailing Address - Country:US
Mailing Address - Phone:323-457-0997
Mailing Address - Fax:888-235-7774
Practice Address - Street 1:1630 CENTINELA AVE STE 211
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-6950
Practice Address - Country:US
Practice Address - Phone:323-457-0997
Practice Address - Fax:888-235-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health