| NPI | 1285192880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOURTNEY BARTLETT-KIECHLE Executive Director 978-998-5694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |