NPI | 1407211535 |
---|---|
Doing Business As | MAJOR IMPACT, INC. |
Entity Type | Organization |
Authorized Contact | CLAYTON LAMBERT MAJOR Co Owner 239-226-4357 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2036AD2405-01) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |