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 |