NPI | 1538742044 |
---|---|
Former Name | LISA HOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251B00000X Case Management | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2021-05-03 |
Last Update Date | 2021-05-03 |