Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1992277586 |
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| LBN Legal business name | ADULT FAMILY HEALTH SERVICES LLC | ||||||||
| Authorized official | VIKTORIYA FINE - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/20/2018 | ||||||||
| Last updated | 12/20/2018 - About 7 years ago | ||||||||
| Identifiers |
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