| NPI | 1033703426 |
|---|---|
| Doing Business As | NOBU |
| Entity Type | Organization |
| Authorized Contact | BELINA SURUJON Contracting & Licensing Director 754-300-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-03-29 |