New Beginnings Suboxone Treatment, Llc Corp | |
2640 Hamstrom Rd Portage IN 46368-3832 | |
(219) 762-4423 | |
Not Available |
Full Name | New Beginnings Suboxone Treatment, Llc Corp |
---|---|
Speciality | Internal Medicine |
Location | 2640 Hamstrom Rd, Portage, Indiana |
Authorized Official Name and Position | Shreyas Arvind Desai (PRESIDENT/OWNER) |
Authorized Official Contact | 2197624423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Beginnings Suboxone Treatment, Llc Corp 2640 Hamstrom Rd Portage IN 46368-3832 Ph: (219) 762-4423 | New Beginnings Suboxone Treatment, Llc Corp 2640 Hamstrom Rd Portage IN 46368-3832 Ph: (219) 762-4423 |
NPI Number | 1114315041 |
---|---|
Provider Enumeration Date | 12/30/2014 |
Last Update Date | 12/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114315041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Indiana) | Primary |
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