Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Health Maintenance Organization |
302R00000X |
| NPI Number | 1033572789 |
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| LBN Legal business name | CENTER FOR VETERANS IN TRANSITION , LLC | ||||||||||||||||
| Authorized official | STEVE ZAPPALLA - (DIRECTOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 03/31/2016 | ||||||||||||||||
| Last updated | 03/31/2016 - About 10 years ago | ||||||||||||||||
| Identifiers |
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