Organization · Type 2 NPI
Aspire365 Connecticut
Addiction Medicine (Preventive Medicine) Physician · New Haven, CT
NPI number
1053086587
Active
Practice location
679 State St
New Haven, CT 06511-6509
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
About NPI 1053086587
Aspire365 Connecticut's National Provider Identifier is 1053086587, issued on Aug 16, 2021. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in New Haven, CT. The record was last updated on Oct 14, 2024.