NPI | 1134841919 |
---|---|
Other Name | 4 ALL OF US TRANSITIONAL IMPROVEMENTS, LLC |
Entity Type | Organization |
Authorized Contact | CHERRY L GOOCH Founder/President 575-218-3326 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-09-16 |
Last Update Date | 2022-09-16 |