| NPI | 1083343867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GORHAM Clinical Psychologist/Owner 774-312-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |