| NPI | 1144024464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ZAGABE Owner 774-386-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2026-04-07 |