| NPI | 1467768325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA C BOWEN-NEWTON Owner 617-265-5064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5478) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |