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 | |
Mental Health |
101YM0800X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1306609854 |
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| LBN Legal business name | STARTING POINTE RECOVERY INC. | ||||
| Authorized official | TINA JACKSON - (PRESIDENT/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/06/2024 | ||||
| Last updated | 09/11/2024 - More than a year ago | ||||
| Identifiers |
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