| NPI | 1124730445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CILEIMAR S OLIVEIRA Manager 781-558-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |