Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Adult Mental Health |
261QM0850X |
| NPI # | 1639896533 |
| LBN Legal business name | ENSO RECOVERY LLC |
| Authorized official | DIPAK DATTANI - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/21/2022 |
| Last updated | 10/21/2022 - About 4 years ago |
| Identifiers | n/a |
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