Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1336553692 |
| LBN Legal business name | MIDVALLEY HEALTHCARE PLLC |
| Authorized official | KRISTINA HARRINGTON - (CO-OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/16/2014 |
| Last updated | 11/16/2021 - About 5 years ago |
| Identifiers | n/a |
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MIDVALLEY HEALTHCARE PLLC
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