Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Case Management |
251B00000X | |||
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1225186448 |
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| LBN Legal business name | SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC. | ||||
| Authorized official | ANDREW TATUM - (COO/CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/05/2007 | ||||
| Last updated | 01/09/2020 - About 6 years ago | ||||
| Identifiers |
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