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Contact Information

ASTRUM WELLNESS AND RECOVERY LLC
129 E DEWALD ST
FORT WAYNE, IN46803-3317
 Phone: 260-280-3341
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ASTRUM WELLNESS AND RECOVERY LLC

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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