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 | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Mental Health |
101YM0800X | |||
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1245378546 |
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| LBN Legal business name | FORA HEALTH INC. | ||||
| Authorized official | MALLORY JOHNSON - (CONTRACT COORDINATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/01/2007 | ||||
| Last updated | 07/27/2022 - About 4 years ago | ||||
| Identifiers |
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