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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1366972879 |
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| LBN Legal business name | ASTRA MENTAL HEALTH AND RECOVERY, INC. | ||||
| Authorized official | STEPHANIE HARRISON - (MANAGER, SELF-PAY/AR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 06/16/2017 | ||||
| Last updated | 05/05/2026 - About a month ago | ||||
| Identifiers |
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