| NPI | 1689248809 |
|---|---|
| Other Name | MARVIN MARKS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1408211020) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2024-08-29 |