| NPI | 1285113449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HUMINSKI Therapist/Consultant 508-315-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1027656) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |