| NPI | 1417431495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANA SANINOCENCIO CEO 978-710-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |