| NPI | 1750648689 |
|---|---|
| Former Legal Business Name | ISLAND COUNSELING CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | ADAM OCH Clinic Administrator 508-753-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2024-12-05 |