| 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 |