| NPI | 1194395657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE RICHARDS STEWART Provider 508-454-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2026-02-10 |