| NPI | 1245005875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER NICHOLS DEFELICE Mental Health Counselor 774-487-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |