| NPI | 1952765463 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GERALDO PAGAN Managing Member 978-476-9016  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9504)  | 
| Enumeration Date | 2016-04-11 | 
| Last Update Date | 2023-11-28 |