Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1093159816 |
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| LBN Legal business name | ANDROMEDA INC | ||||
| Authorized official | RICARDO GALBIS - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/23/2013 | ||||
| Last updated | 04/23/2013 - About 13 years ago | ||||
| Identifiers |
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