| NPI | 1477087633 |
|---|---|
| Other Name | MARCELLUS BROOMES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00206800) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00232200) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |