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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 | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Mental Health |
101YM0800X | |||
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1487301859 |
| LBN Legal business name | IRECOVERY, LLC |
| Authorized official | MILDRED CINTRON - (CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/07/2022 |
| Last updated | 12/22/2022 - About 3 years ago |
| Identifiers | n/a |
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IRECOVERY, LLC