THOMAS M ROE

ELKHART, IN
NPI1457687402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-10-27
Last Update Date2011-04-28
Business Address
-- THOMAS M ROE LCAC
2600 OAKLAND AVE
ELKHART, IN 46517-1533
Phone number: 574-533-1234
Mailing Address
-- THOMAS M ROE LCAC
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234