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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 | |||
Adult Mental Health |
261QM0850X |
| NPI # | 1205428331 |
| LBN Legal business name | AVERA MCKENNAN |
| Authorized official | RONALD PLACE - (PRESIDENT/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/10/2021 |
| Last updated | 10/04/2023 - About 3 years ago |
| Identifiers | n/a |
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AVERA MCKENNAN
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AVERA MCKENNAN