Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1740402015 |
| LBN Legal business name | NOVA TREATMENT COMMUNITY, INC. |
| Authorized official | NANCY WILSON-HINTZ - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/03/2007 |
| Last updated | 12/04/2013 - About 13 years ago |
| Identifiers | n/a |
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