| NPI | 1649023409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINALSO RUIZ Counselor 774-305-0581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |