| NPI | 1336468271 |
|---|---|
| Doing Business As | FOUR RIVERS & ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | ANDRA D JOHNSON Owner 216-798-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005636A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 991842) |
| 1041C0700X Social Worker, Clinical (Licence: OH I-0009358) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 2972-123) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000438A) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2011-10-17 |