NPI | 1265906234 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA NOVOSON Principle Owner 781-561-8081 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2019-01-14 |
Last Update Date | 2022-07-06 |