A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Addiction Medicine |
207LA0401X | 05 | Physician/Anesthesiology | |
Adult Mental Health |
261QM0850X | |||
Case Management |
251B00000X | |||
Genetics |
261QG0250X | |||
Legal Medicine |
173000000X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Other Service Providers |
175T00000X | |||
Pain |
261QP3300X | |||
Ph.D. Medical Genetics |
170100000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Research |
261QR1100X |
| NPI # | 1144928037 |
||||
| LBN Legal business name | PRECISION ADDICTION MEDICINE PLLC | ||||
| Authorized official | RICHARD GREEN - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/20/2023 | ||||
| Last updated | 03/14/2023 - About 3 years ago | ||||
| Identifiers |
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PRECISION ADDICTION MEDICINE PLLC
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