| NPI | 1003658311 |
|---|---|
| Former Name | JASON FOLEY CAPRIO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0411) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |