Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Recovery Care |
261QR0800X | |||
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1790067031 |
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| LBN Legal business name | HIGH COUNTRY BEHAVIORAL HEALTH | ||||||||
| Authorized official | KIPP DANA - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/13/2011 | ||||||||
| Last updated | 06/07/2024 - More than a year ago | ||||||||
| Identifiers |
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