| NPI | 1477921781 |
|---|---|
| Doing Business As | CNC360 |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE PEARL Owner 781-674-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 118496) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |