| NPI | 1306331160 |
|---|---|
| Other Name | JACK S AARTS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0124528) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |