| Organization Name: | MEDICAL INTERVENTION FOR INDIVIDUALS ADDICTED INC. |
| NPI Number: | 1730243122 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES J MANLANDRO (OWNER) |
| Mailing Address: | 408 Bethel Rd Bldg B Suite 2 Somers Point |
| State: | NJ US |
| Postal Code: | 082442172 |
| Phone Number: | 6095933076 |
| Fax Number: | 6098615373 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 208D00000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |