| NPI | 1083338123 |
|---|---|
| Doing Business As | GAVREEL |
| Entity Type | Organization |
| Authorized Contact | RICHARD W DE JESUS President/CEO 617-945-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |