| NPI | 1922467810 |
|---|---|
| Other Name | BOB MARRIOTT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1193780315) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |