| NPI | 1336370212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BARRAGATO Partner 857-998-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4783) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |