Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1982272993 |
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| LBN Legal business name | HEALING STONE 1 | ||||||||||||||||||||||||
| Authorized official | JUDI SCOTT - (PLADC) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 06/15/2021 | ||||||||||||||||||||||||
| Last updated | 11/04/2022 - About 4 years ago | ||||||||||||||||||||||||
| Identifiers |
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