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 | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1346732419 |
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| LBN Legal business name | ENVISION UNLIMITED | ||||
| Authorized official | LINDA BRUGGEMANN - (BILLING COORDINATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 06/04/2018 | ||||
| Last updated | 08/16/2018 - About 8 years ago | ||||
| Identifiers |
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