| NPI | 1811278583 |
|---|---|
| Other Name | HENRY ANTONIO GONZALEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 12938) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |