NPI | 1235402934 |
---|---|
Doing Business As | SOBER LIVING |
Entity Type | Organization |
Authorized Contact | DOROTHY IRENE SISSON Owner/Founder 865-978-0160 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2012-02-12 |
Last Update Date | 2012-02-12 |