Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1346792298 |
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| LBN Legal business name | ELISABETH KRAUSE | ||||||||
| Authorized official | ELIZABETH KRAUSE - (MENTAL HEALTH COUNSELOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/26/2016 | ||||||||
| Last updated | 10/26/2016 - About 10 years ago | ||||||||
| Identifiers |
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