| NPI | 1215653803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE MARY M LEVEILLE Mental Health Counselor 508-612-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |