| NPI | 1285921379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES CARTY Owner, Director 978-535-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 113550) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-10-14 |