Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X |
| NPI Number | 1306203310 |
||||||||
| LBN Legal business name | HIGHLY FAVORED LLC | ||||||||
| Authorized official | PATRICIA EVANS - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/21/2016 | ||||||||
| Last updated | 01/21/2016 - About 10 years ago | ||||||||
| Identifiers |
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