NPI | 1912221888 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK SURGEON CEO 1877-472-2302 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2010-03-22 |
Last Update Date | 2011-01-28 |