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 | 1659934982 |
| LBN Legal business name | EQUINOX CLINICS LLC |
| Authorized official | RANDALL KELLY - (DMSC PAC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/22/2019 |
| Last updated | 01/30/2024 - About 2 years ago |
| Identifiers | n/a |
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EQUINOX CLINICS LLC
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