Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1245106871 |
| LBN Legal business name | LOTUS WEST |
| Authorized official | JEAN TIMMONS - (CHIEF OF COMPLIANCE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/13/2025 |
| Last updated | 10/13/2025 - About 8 months ago |
| Identifiers | n/a |
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