| NPI | 1205995198 |
|---|---|
| Other Name | OCTAVIANO SALAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001766) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |