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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 | |
Behavioral Neurology & Neuropsychiatry |
2084B0040X |
| NPI # | 1790648582 |
| LBN Legal business name | RENEWLIFE RECOVERY LLC |
| Authorized official | CAMERON JOHNSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/08/2025 |
| Last updated | 12/08/2025 - About 6 months ago |
| Identifiers | n/a |
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RENEWLIFE RECOVERY LLC
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RENEWLIFE RECOVERY LLC