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 | 1851964407 |
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| LBN Legal business name | IRECOVERY, LLC | ||||
| Authorized official | MILDRED CINTRON - (CREDENTIALING SPECIALIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 07/21/2021 | ||||
| Last updated | 09/27/2021 - About 5 years ago | ||||
| Identifiers |
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