Organization
AHI MEDICAL ADDICTIONS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMA C WANG DO (OWNER)
(574) 252-7233
Entity
Organization
Contact information
Practice address
3006 LINCOLNWAY E, MISHAWAKA, IN 46544-3501
(574) 252-7233
(844) 361-2090
Mailing address
3006 LINCOLNWAY E, MISHAWAKA, IN 46544-3501
(574) 252-7233
(844) 361-2090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
BX2361145
IN
Other
Enumeration date
12/20/2016
Last updated
09/01/2020
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