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 | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Adult Care Home |
311ZA0620X | |||
Adult Day Care |
261QA0600X | |||
Alzheimer Center /Dementia Center/Dementia Special Care Unit |
311500000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1841696531 |
| LBN Legal business name | WELLNESS GROUP HOME |
| Authorized official | ABDIRIZAK ALI - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/07/2014 |
| Last updated | 11/07/2014 - About 12 years ago |
| Identifiers | n/a |
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