NPI | 1184037152 |
---|---|
Other Name | TONY BARRIENTOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP100107) |
Enumeration Date | 2014-06-08 |
Last Update Date | 2017-05-06 |