Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Respite Care, Mental Illness, Child |
385HR2055X |
| NPI Number | 1477108017 |
||||
| LBN Legal business name | NIRVANA BEHAVIORAL SOLUTIONS,LLC | ||||
| Authorized official | MIRIAM HARRIS - (CREDENTIALING CONTACT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/08/2019 | ||||
| Last updated | 08/08/2019 - About 7 years ago | ||||
| Identifiers |
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