| NPI | 1215773056 |
|---|---|
| Former Legal Business Name | WAYGFT |
| Entity Type | Organization |
| Authorized Contact | BRIAN CECIL PATRICK Owner 989-430-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-10 |