| NPI | 1023586369 |
|---|---|
| Other Name | NILES WOODS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-03-05 |