| NPI | 1134596463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J DAMON Licensed Mental Health Counselor 508-493-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |