| NPI | 1578711644 |
|---|---|
| Professional Name | DESMOND JAMES SULLIVAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 12582) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |