Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X |
| NPI Number | 1952017188 |
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| LBN Legal business name | REAL LIFE SOLUTIONS BEHAVIORAL HEALTH, LLC | ||||||||
| Authorized official | MARCIA SILCOTT - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/31/2023 | ||||||||
| Last updated | 03/22/2023 - About 3 years ago | ||||||||
| Identifiers |
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