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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 | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Psychiatric/Mental Health, Adult |
163WP0809X |
| NPI Number | 1518523075 |
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| LBN Legal business name | OUTREACH RECOVERY II | ||||
| Authorized official | ISIAH COLES - (COO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/10/2019 | ||||
| Last updated | 03/05/2021 - About 5 years ago | ||||
| Identifiers |
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OUTREACH RECOVERY II
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OUTREACH RECOVERY II