Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI Number | 1730659897 |
| LBN Legal business name | VANESSA WEINBACH LLC |
| Authorized official | VANESSA WEINBACH - (CLINICAL PSYCHOLOGIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/03/2018 |
| Last updated | 06/11/2019 - About 7 years ago |
| Identifiers | n/a |
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