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A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1063716306 |
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| LBN Legal business name | GOSNOLD, INC. | ||||||||||||||||||||||||||||||||||||||||||||
| Authorized official | RAYMOND TAMASI - (CEO) | ||||||||||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||||||||||
| Enumeration date | 12/30/2010 | ||||||||||||||||||||||||||||||||||||||||||||
| Last updated | 12/30/2010 - About 15 years ago | ||||||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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GOSNOLD, INC.