| NPI | 1457868473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARTINO-FLEMING Owner 774-307-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9170) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |