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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 | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
163WA0400X | |||
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine |
| NPI # | 1609599620 |
| LBN Legal business name | ASPIRE365 BEHAVIORAL HEALTH |
| Authorized official | ZACHARY JENSON - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/23/2022 |
| Last updated | 10/14/2024 - More than a year ago |
| Identifiers | n/a |
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ASPIRE365 BEHAVIORAL HEALTH
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ASPIRE365 BEHAVIORAL HEALTH