| NPI | 1851780316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ESTEVEZ Founder/CEO 774-823-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 7078) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |