Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1811210578 |
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| LBN Legal business name | WHITE SKY HOPE CENTER | ||||
| Authorized official | TERESA HESTON - (APPLICATIONS COORDINATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 03/10/2010 | ||||
| Last updated | 01/29/2020 - About 6 years ago | ||||
| Identifiers |
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