| NPI | 1760934095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA JOAN AMARSINGH Owner 774-530-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 10220) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |