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General NPI Number Information
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NPI Number | 1154719466
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Entity Type | Organization
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Legal Business Name | RECOVERY IN CHRIST HEALING FAMILY PROGRAM INC.
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 7808 CHLOE CT
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City | BELLEVILLE
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State | MI
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Zip | 48111-7421
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Country | US
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Telephone | 734-799-2982
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 CHLOE CT
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City | BELLEVILLE
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State | MI
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Zip | 48111-7421
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Country | US
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Telephone | 734-799-2982
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Fax |
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Authorized Official
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Title or Position | EXEC. DIRECTOR
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Name | MS. ELIZABETH TAYLOR
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Credential | LMSW
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Telephone | 734-799-2982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 6801084815
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License Number State | MI
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