Evidence Based Addiction Medicine
NPI #1093169443 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1093169443
- Entity Type
- Organization
- Organization Name
- Evidence Based Addiction Medicine
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 21, 2016
- Last Updated
- Apr 21, 2016
Practice Location
- Address
- 205 HIGH POINT DR
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-1503
- Phone
- (423) 631-0731
Authorized Official
- Name
- MRS. DEANNA LYNN IRICK, M. ED.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (423) 631-0731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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