| NPI | 1417672965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH RIDPATH Owner 508-591-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |