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 # | 1477403509 |
| LBN Legal business name | QUEEN ANNE AVENUE LLC |
| Authorized official | ROSS MORTON - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/29/2026 |
| Last updated | 04/18/2026 - About 2 months ago |
| Identifiers | n/a |
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