| NPI | 1265004873 |
|---|---|
| Former Name | CARO CHAMBERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL 35337) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 35337) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |