Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI Number | 1528579679 |
| LBN Legal business name | GREENCARE MENTAL HEALTH AND FAMILY SERVICES |
| Authorized official | MOSES GREEN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/17/2017 |
| Last updated | 10/17/2017 - About 9 years ago |
| Identifiers | n/a |
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