| NPI | 1386423606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY FAULKNER Owner/Director 508-857-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |