| NPI | 1306132980 |
|---|---|
| Professional Name | DANIEL RAY LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 11180) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2024-06-06 |