NPI | 1083286819 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA DESTEFANO Owner And Psychotherapist 617-680-5724 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-07-12 |