Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Community/Behavioral Health |
251S00000X | |||
Research |
261QR1100X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1124744917 |
| LBN Legal business name | CAPPS WELLNESS CLINIC AND ASSOCIATES, INC. |
| Authorized official | ACACIA JOHNSON - (THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/13/2022 |
| Last updated | 10/13/2022 - About 4 years ago |
| Identifiers | n/a |
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