| NPI | 1396081196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M MILLER Sole Proprietor 617-326-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8106) |
| Enumeration Date | 2012-12-25 |
| Last Update Date | 2018-12-18 |