| NPI | 1053258251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ORELLANA Licsw 978-999-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-04 |