| NPI | 1235672577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HARRIS SANDMAN President 774-329-9429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7074) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |