| NPI | 1821587528 |
|---|---|
| Professional Name | GEORGE MORENO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A051120118) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-06-16 |