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 |
| NPI Number | 1578619557 |
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| LBN Legal business name | DEPARTMENT OF HEALTH AND HOSPITALS | ||||||||||||
| Authorized official | RICHARD BARFOOT - (MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/25/2007 | ||||||||||||
| Last updated | 07/24/2013 - About 13 years ago | ||||||||||||
| Identifiers |
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