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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 | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1790150548 |
| LBN Legal business name | 75 LINDALL STREET OPCO LLC |
| Authorized official | SERGIO CRUZ - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/04/2015 |
| Last updated | 12/18/2024 - More than a year ago |
| Identifiers | n/a |
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