NPI | 1811476153 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH RANCOURT Owner, Lmhc, Ladc 781-281-2348 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 6452) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2020-06-24 |