| NPI | 1871015941 |
|---|---|
| Former Name | JEROME M MASSAD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L10965) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-06-30017) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-06-17 |