| NPI | 1417200403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DOROTHY SAMARTANO Licensed Mental Health Counselor 508-819-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5539) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |