Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1649309626 |
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| LBN Legal business name | COPE | ||||||||||||
| Authorized official | WILLIE HASKINS - (EXECUTIVE DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/05/2007 | ||||||||||||
| Last updated | 04/01/2015 - About 11 years ago | ||||||||||||
| Identifiers |
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