Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1801014550 |
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| LBN Legal business name | MONARCH, INC | ||||
| Authorized official | MICHELLE ROGERS - (EXECUTIVE ASSISTANT/MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/20/2007 | ||||
| Last updated | 12/19/2013 - About 12 years ago | ||||
| Identifiers |
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