| 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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