| NPI | 1750648689 |
|---|---|
| Former Legal Business Name | ISLAND COUNSELING CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | MOHAMAD R. OCH President 508-753-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2020-10-21 |