| NPI | 1023233210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY STUART ANDREWS President 617-489-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 4023) |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2020-08-22 |