| NPI | 1598269342 |
|---|---|
| Other Name | KEL CENGA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0021265) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-76595) |
| 172A00000X Driver | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-03-06 |