| NPI | 1306446059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GEORGE LYTTLE President 508-877-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |