| NPI | 1548715964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDGER LABISSIERE Owner 617-678-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 119810) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |