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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 | Specialty Code | Provider Type | |
Adult Mental Health |
261QM0850X | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Case Management |
251B00000X |
| NPI Number | 1235897356 |
| LBN Legal business name | CONCRETE INTERVENTIONS AND SUPPORT SERVICES PLLC |
| Authorized official | GINA ROSE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/06/2021 |
| Last updated | 12/06/2021 - About 4 years ago |
| Identifiers | n/a |
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CONCRETE INTERVENTIONS AND SUPPORT SERVICES PLLC