| NPI | 1417756321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA T BOUSQUET Licensed Mental Health Clinician 508-233-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |