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 |