| NPI | 1013650753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LECLAIRE Owner/Manager 978-409-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |