| NPI | 1295459261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEE SHAW Owner 978-206-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-07-31 |