Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1679389100 |
| LBN Legal business name | 180 RED INC |
| Authorized official | JEREMY LYNCH - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/09/2024 |
| Last updated | 12/09/2024 - More than a year ago |
| Identifiers | n/a |
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