National Provider Identifier Database

MOMENTUM KOKOMO LLC
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

MOMENTUM KOKOMO, LLC
1236 N. WABASH AVE
KOKOMO, IN46901
Phone: 310-741-7199
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MOMENTUM KOKOMO, LLC

NPI Number 1922607597
Legal business name
LBN
MOMENTUM KOKOMO, LLC
Authorized official KATARINA SVENSSON - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/23/2020
Last updated 10/23/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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