OTIS GREENE

RANCHO MIRAGE, CA
NPI1740893361
Former NameKAMAU AKITI SHABAZZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-08-24
Last Update Date2024-01-24
Business Address
OTIS GREENE Substance Use Disord
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270-3283
Phone number: 877-502-3218
Mailing Address
OTIS GREENE Substance Use Disord
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270-3283
Phone number: 877-502-3218
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