Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1821889247 |
| LBN Legal business name | CBR PHP & IOP LLC |
| Authorized official | ELHADI BENKIRANE - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/15/2025 |
| Last updated | 05/15/2025 - More than a year ago |
| Identifiers | n/a |
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