| NPI | 1902460868 |
|---|---|
| Former Name | LEANDRO PEREZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C139530723) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-04-22 |