| NPI | 1356824486 |
|---|---|
| Professional Name | PAUL J SULLIVAN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 28067) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |