| NPI | 1124740493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J PELLEGRINE Mental Health Counselor 978-533-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |