NPI | 1215697131 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIE KAMUENE CEO 978-289-7258 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-12-20 |
Last Update Date | 2021-12-20 |