| NPI | 1285778548 |
|---|---|
| Former Name | GEOFFRY W MCENANY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA 239814) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2023-06-09 |