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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 | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X |
| NPI Number | 1508307083 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 03/16/2017 | ||||
| Last updated | 03/16/2017 - About 9 years ago | ||||
| Identifiers |
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JENNIFER CARLSON
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JENNIFER CARLSON, CMCH MAC