Doctor Name: | MRS. LORI-ANNE MITCHELL |
NPI Number: | 1215074372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | 544682-1 |
Business Practice Address: | 190 Foxhollow Road Rhinebeck, NY - 12572 |
Business Phone Number: | 8458765628 |
Business Fax Number: | |
Mailing Address: | 1135 Dogwood St, KINGSTON |
State: | NY |
Postal Code: | 124011033 |
Phone Number: | 8453365867 |
Fax Number: | 8456911065 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 544682-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |