| NPI | 1548576176 |
|---|---|
| Professional Name | GLEN E. BURKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00128500) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |