Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Mental Health |
101YM0800X |
| NPI Number | 1790753663 |
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| LBN Legal business name | ALLWELL BEHAVIORAL HEALTH SERVICES | ||||
| Authorized official | JAMES MCDONALD - (PRESIDENT & CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 03/08/2006 | ||||
| Last updated | 04/26/2018 - About 8 years ago | ||||
| Identifiers |
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