| NPI | 1225326614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JF MCGRAW Vice President, Secretary 508-400-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6571) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6582) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-09-28 |