| NPI | 1124520630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REYNOLDS President 978-387-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6323) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |