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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 |
| NPI Number | 1134630734 |
| LBN Legal business name | C10202017363071 |
| Authorized official | LEWIS ZEIDNER - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/23/2017 |
| Last updated | 02/21/2025 - More than a year ago |
| Identifiers | n/a |
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C10202017363071
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C10202017363071