| NPI | 1316338783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIREL TANER-CABALLERO Manager 978-549-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 7982) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |