| NPI | 1174023972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMASZ WAWRZYNIAK Manager 617-435-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 7613) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |