| NPI | 1265862791 |
|---|---|
| Doing Business As | SOUTH OF BOSTON HEALING |
| Entity Type | Organization |
| Authorized Contact | CHERYL A PUOPOLO Administrative Assistant 508-583-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA RN/NP115563) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |