| NPI | 1215530225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORBIN LOFLIN President 888-672-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 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 | |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |