| NPI | 1285246959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YLEIS ASHLEY ENGERMAN Practice Owner 508-521-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |