| NPI | 1265944615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FALLAVOLLITA Owner/Psychotherapist 978-518-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8102) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |