| NPI | 1376147082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 171M00000X Case Manager/Care Coordinator | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |