A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X | |||
Health Service |
261QH0100X | |||
Medical Specialty |
261QM2500X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1164177085 |
| LBN Legal business name | SOUTH FORSYTH WELLNESS LLC |
| Authorized official | JOSEPH DIFABIO - (CMO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/18/2022 |
| Last updated | 02/18/2022 - About 4 years ago |
| Identifiers | n/a |
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