Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1467557983 |
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| LBN Legal business name | CORNER HOUSE INC | ||||||||||||||||
| Authorized official | SARAH RILEY-HANSEN - (EXECUTIVE DIRECTOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 09/13/2006 | ||||||||||||||||
| Last updated | 05/23/2008 - About 18 years ago | ||||||||||||||||
| Identifiers |
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