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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 | |||
Substance Abuse Treatment, Children |
3245S0500X |
| NPI # | 1184247975 |
| LBN Legal business name | GOODCLOVER, LLC |
| Authorized official | JENNIFER LANDPHERE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/27/2020 |
| Last updated | 05/27/2020 - About 6 years ago |
| Identifiers | n/a |
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GOODCLOVER, LLC