| NPI | 1467161000 |
|---|---|
| Doing Business As | CENTER FOR INTEGRATIVE COUNSELING AND COACHING |
| Entity Type | Organization |
| Authorized Contact | MIKE MALONE CEO 617-733-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2024-06-05 |