| NPI | 1295058352 |
|---|---|
| Doing Business As | INNER VISION DRUG TEST CONSULTANT. |
| Entity Type | Organization |
| Authorized Contact | PAUL VICTOR ANDREWS President 201-927-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA 457035) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00129700) |
| 101YP2500X Counselor Professional (Licence: PA PC005016) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: PA PC005016) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |