NPI 1457896896 · live from the CMS NPI Registry
Ahi Medical Addictions Clinic, LLC
Family Medicine, Addiction Medicine in Mishawaka, IN. National Provider Identifier 1457896896, active.
NPI record
| NPI | 1457896896 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 3006 Lincolnway E, Mishawaka, IN 46544 |
| Practice phone | 574-252-7233 |
| Enumerated | December 20, 2016 |
| Last updated | September 1, 2020 |
| Authorized official | Emma Wang, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Family Medicine, Addiction Medicine primary | 207QA0401X | BX2361145 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.