| NPI | 1255737334 |
|---|---|
| Professional Name | KEANE QUANTAZE SAULS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 20283) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 13875) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2023-08-16 |