NPI | 1154537686 |
---|---|
Professional Name | PETER JAMES KILLEEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00034600) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |