Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1053071886 |
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| LBN Legal business name | HOLISTIC RECOVERY TRAINING SERVICES LLC | ||||
| Authorized official | VICTORIA GORE - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/21/2021 | ||||
| Last updated | 05/11/2026 - About a month ago | ||||
| Identifiers |
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