Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Adult Mental Health |
261QM0850X | |||
Case Management |
251B00000X | |||
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Community/Behavioral Health |
251S00000X | |||
Health Service |
261QH0100X | |||
Non-emergency Medical Transport (VAN) |
343900000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1477212306 |
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| LBN Legal business name | NORTHSIGHT RECOVERY LLC | ||||||||||||||||
| Authorized official | JEREMY BLOOM - (MEMBER/CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 12/08/2021 | ||||||||||||||||
| Last updated | 04/20/2023 - About 3 years ago | ||||||||||||||||
| Identifiers |
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