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 |