Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Adolescent and Children Mental Health |
261QM0855X | |||
Adult Mental Health |
261QM0850X | |||
Psychiatric/Mental Health, Community |
364SP0812X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1821826009 |
| LBN Legal business name | LA BELLA FLEUR HEALTHCARE CENTER, INC |
| Authorized official | MONSERRATH VERA - (BILLING AND CREDENTIALING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/22/2024 |
| Last updated | 07/22/2024 - More than a year ago |
| Identifiers | n/a |
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