| NPI | 1598159790 |
|---|---|
| Other Name | JIM GOSS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF60831) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |