Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
261QH0100X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Community Health |
261QC1500X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Psychiatric/Mental Health, Community |
364SP0812X | 89 | Certified Clinical Nurse Specialist | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1588203525 |
| LBN Legal business name | LIFE RECOVERY HEALTHCARE SYSTEMS INC |
| Authorized official | PAMELA ROBINSON - (EXEC. MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/21/2019 |
| Last updated | 12/21/2019 - About 6 years ago |
| Identifiers | n/a |
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