| NPI | 1356025670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAPHIA SACKEENA RICHARDS Clinicial/ Manager Owner 781-267-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |