| NPI | 1023306552 |
|---|---|
| Other Name | GERRY DANIEL KANE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000666) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |