| NPI | 1982413050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.192813) | |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-11-10 |