Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Recovery Care |
261QR0800X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1588404511 |
| LBN Legal business name | SOUTHWEST COUNSELING SERVICE |
| Authorized official | MELISSA WRAY-MARCHETTI - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/28/2024 |
| Last updated | 05/28/2024 - About 2 years ago |
| Identifiers | n/a |
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