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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 | 1386871853 |
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| LBN Legal business name | MYSTIC MOTION INC | ||||
| Authorized official | BRET HINER - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/11/2009 | ||||
| Last updated | 06/11/2009 - About 17 years ago | ||||
| Identifiers |
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MYSTIC MOTION INC