| NPI | 1861881880 |
|---|---|
| Other Name | ANGIE T. PECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 08051364) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |