| NPI | 1285326181 |
|---|---|
| Former Legal Business Name | LLC |
| Entity Type | Organization |
| Authorized Contact | ENEIDA QIRKO Lmhc 978-295-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |