Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1265499958 |
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| LBN Legal business name | DEPARTMENT OF HEALTH AND HOSPITAL | ||||
| Authorized official | ROBERT BOYD - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/27/2006 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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