Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Family |
363LF0000X | 50 | Nurse Practitioner | |
Other Service Providers |
175T00000X | |||
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1114637667 |
| LBN Legal business name | RHEMA OF FOX VALLEY |
| Authorized official | CAMERON BROWN - (OWNER/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/23/2022 |
| Last updated | 08/13/2024 - More than a year ago |
| Identifiers | n/a |
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RHEMA OF FOX VALLEY
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