| NPI | 1912735333 |
|---|---|
| Other Name | JOHNNY F WATTS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60277883) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-09-25 |