| NPI | 1972909463 |
|---|---|
| Professional Name | TIM OCONNOR |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008017) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2017-02-02 |