NPI | 1356022693 |
---|---|
Entity Type | Organization |
Authorized Contact | TAUFIK KASSIS Owner 606-663-7597 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
207QA0401X Family Medicine, Addiction Medicine | |
207RA0401X Internal Medicine, Addiction Medicine | |
Enumeration Date | 2023-07-28 |
Last Update Date | 2023-08-18 |