| NPI | 1295317774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY COOPER Founder/CEO 617-221-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2023-10-22 |