| NPI | 1265864110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA W HOWELL Manager And Sole Member 617-947-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC 8482) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |