| NPI | 1780004028 |
|---|---|
| Other Name | MICHAEL ANTHONY JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01004) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |