| NPI | 1669619664 |
|---|---|
| Former Name | ROBERT R DRAINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1032541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1032541) |
| 101YP2500X Counselor, Professional (Licence: MA 1032541) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |