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 |