| NPI | 1659049898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA LEE GOUVEIA Owner, Substance Abuse Counselor 508-938-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |