NPI | 1063283224 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN GRANDON Owner 978-219-4119 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-01-15 |