| NPI | 1275079097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE CLAUDOMIR President 781-885-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2024-05-24 |