NPI | 1164955837 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY B TOWNSEND Owner 774-766-8335 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9461) |
Enumeration Date | 2017-04-09 |
Last Update Date | 2022-06-01 |