Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adult Mental Health |
261QM0850X | |||
Recovery Care |
261QR0800X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Social Worker |
104100000X |
| NPI # | 1134607401 |
||||
| LBN Legal business name | SOME, INC | ||||
| Authorized official | RALPH BOYD - (PRESIDENT/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/30/2018 | ||||
| Last updated | 03/03/2021 - About 5 years ago | ||||
| Identifiers |
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