NPI | 1326575051 |
---|---|
Entity Type | Organization |
Authorized Contact | JASSY CASELLA TIMBERLAKE Director 413-587-0095 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1259) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2017-05-12 |