| NPI | 1063062107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PELLETIER Owner/Social Worker 508-493-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |