| NPI | 1639729262 |
|---|---|
| Doing Business As | LARRY PORTA COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | LARRY PORTA Owner 989-448-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |