Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Recovery Care |
261QR0800X | |||
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI Number | 1477821767 |
| LBN Legal business name | DESTINY, POWER & PURPOSE, INC. |
| Authorized official | DEBORAH CORLEY - (OWNER/DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/01/2011 |
| Last updated | 12/01/2011 - About 15 years ago |
| Identifiers | n/a |
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