| NPI | 1083729602 |
|---|---|
| Former Name | GEORGE M CODY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD 19604) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD 19604) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-08-26 |