Provider Demographics
NPI:1053717785
Name:VALENCIA RELATIONSHIP INSTITUTE
Entity type:Organization
Organization Name:VALENCIA RELATIONSHIP INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY-WINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:661-259-8200
Mailing Address - Street 1:28494 WESTINGHOUSE PL
Mailing Address - Street 2:SUITE 214
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-0930
Mailing Address - Country:US
Mailing Address - Phone:661-259-8200
Mailing Address - Fax:661-259-8419
Practice Address - Street 1:28494 WESTINGHOUSE PL
Practice Address - Street 2:SUITE 214
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-0930
Practice Address - Country:US
Practice Address - Phone:661-259-8200
Practice Address - Fax:661-259-8419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALC112501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty