| NPI | 1366709925 |
|---|---|
| Other Name | SANTOS ROBERT DUQUE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2012652) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-06-05 |