| NPI | 1154740843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD GYEBI-FOSTER Director 508-736-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4676) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |