NPI | 1093288193 |
---|---|
Former Legal Business Name | TRANQUIL WATERS, INC |
Entity Type | Organization |
Authorized Contact | JESSSICA MARIE MARQUIS President 781-805-4662 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-01-10 |
Last Update Date | 2019-01-10 |