| NPI | 1881337756 |
|---|---|
| Other Name | BEAU BOYD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-CRM-2069) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3994) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-10-02 |