| NPI | 1275805327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE JAFFERIAN Owner 781-801-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 6926) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 6926) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |