| NPI | 1568912152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E FERRERAS Managing Member 857-869-6855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9666) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 9666) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2020-09-23 |