| NPI | 1801695754 |
|---|---|
| Former Name | ANTONIO DUNAWAY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190885) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2026-07-06 |