NPI | 1568216968 |
---|---|
Other Name | MIKEY HORSBURGH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-12 |