Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Case Management |
251B00000X | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1215007083 |
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| LBN Legal business name | SOUTHWEST COUNSELING SERVICE | ||||
| Authorized official | LINDA ACKER - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/09/2006 | ||||
| Last updated | 05/28/2024 - About 2 years ago | ||||
| Identifiers |
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