| NPI | 1750912762 |
|---|---|
| Doing Business As | IVANA SANINOCENCIO |
| Entity Type | Organization |
| Authorized Contact | IVANA SANINOCENCIO CEO 978-935-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |