| NPI | 1124319892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE BOUTIN-GAMMON Owner 508-561-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI 000576078) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |