Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1346789294 |
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| LBN Legal business name | BAYVIEW WELLNESS CLINIC | ||||
| Authorized official | LINUS ANUKWU - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 02/13/2017 | ||||
| Last updated | 02/13/2017 - About 9 years ago | ||||
| Identifiers |
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