Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1912440074 |
| LBN Legal business name | FAMILY RECOVERY SPECIALISTS PA |
| Authorized official | MICHAEL BORKOWSKI - (AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/22/2016 |
| Last updated | 03/20/2019 - About 7 years ago |
| Identifiers | n/a |
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