An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Adult Mental Health |
261QM0850X |
| NPI Number | 1316126121 |
||||||||
| LBN Legal business name | FAMILY HEALTH CENTER | ||||||||
| Authorized official | BRUKE TADESSE - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/29/2007 | ||||||||
| Last updated | 12/07/2020 - About 5 years ago | ||||||||
| Identifiers |
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FAMILY HEALTH CENTER
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