NPI | 1225202054 |
---|---|
Other Name | FRANK RAY MESA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A010860315) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2015-11-03 |