| NPI | 1225206956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JEAN SWEENEY Counselor 508-240-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 4728) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |