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 |
| NPI Number | 1407508161 |
| LBN Legal business name | BRE ENTERPRISES, LLC |
| Authorized official | HEATHER JEFFERSON - (DIRECTOR OF FINANCE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/24/2022 |
| Last updated | 10/19/2024 - More than a year ago |
| Identifiers | n/a |
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