| NPI | 1376253138 |
|---|---|
| Doing Business As | BLUEFIN RECOVERY |
| Entity Type | Organization |
| Authorized Contact | RANDALL IVAN DAVIS CEO 318-773-5880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |