Organization · NPI-2

Evidence Based Addiction Medicine

Clinic/Center · Johnson City, TN

NPI number1093169443
StatusActive
Last updated in NPPESApr 21, 2016

Details

NPI
1093169443
Entity type
Organization (NPI-2)
Legal business name
Evidence Based Addiction Medicine
Organization subpart
No
Enumeration date
Apr 21, 2016
Last updated
Apr 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center–TNYes

Other names

  • High Point Clinic (Doing Business As)

Practice location

205 High Point Dr
Johnson City, TN 37601-1503

Phone 423-631-0731 · Fax 423-631-0732

Mailing address

205 High Point Dr
Johnson City, TN 37601-1503

Phone 423-631-0731 · Fax 423-631-0732

Authorized official

Deanna Lynn Irick
Executive Director
4236310731

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