| NPI | 1194355289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORBIN RAY LOFLIN President 877-739-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-09-18 |