NPI | 1598928632 |
---|---|
Former Name | MICHAEL ANTHONY HOSTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2849) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2008-07-09 |