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1992342331
KEVIN BANTUM
BROOKLYN, NY
NPI
1992342331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
KEVIN BANTUM
1041 BERGEN ST
BROOKLYN, NY 11216-3307
Phone number: 718-771-0760
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Mailing Address
KEVIN BANTUM
1041 BERGEN ST
BROOKLYN, NY 11216-3307
Phone number:
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