| NPI | 1598507618 |
|---|---|
| Former Legal Business Name | CLINICA DEL BUEN SAMARITANO |
| Entity Type | Organization |
| Authorized Contact | ALEX TAPIA President 754-221-9238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |