An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Adult Mental Health | 261QM0850X |
| Adolescent and Children Mental Health | 261QM0855X | |
| Case Management | 251B00000X |
* Indicates primary specialty
| NPI Number | 1235897356 |
| Legal business name LBN |
CONCRETE INTERVENTIONS AND SUPPORT SERVICES PLLC |
| Authorized official | GINA ROSE - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 12/06/2021 |
| Last updated | 12/06/2021 - About 4 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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