| NPI | 1255929824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH DITTMAN Licensed Mental Health Counselor 774-231-8757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |