| NPI | 1215455829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL W YOUNG Fss Clinician 774-318-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1186) |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2022-07-21 |