| NPI | 1164781720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SANTACROCE Owner 978-443-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2264377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114229) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |