| Specialty | Taxonomy Code | |
|---|---|---|
| * | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
* Indicates primary specialty
| NPI Number | 1982922324 |
| Legal business name LBN |
JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES |
| Authorized official | JANICE LINDSTROM - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 05/10/2010 |
| Last updated | 05/10/2010 - About 16 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for JUEL FAIRBANKS CHEMICAL DEPENDENCY SERVICES