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 | 1801575972 |
| LBN Legal business name | ASTRUM WELLNESS AND RECOVERY LLC |
| Authorized official | KIMBERLY LATIBEAUDIER - (CO DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/14/2023 |
| Last updated | 07/14/2023 - About 3 years ago |
| Identifiers | n/a |
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