| NPI | 1477887255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIE CASINELLI Manager 774-454-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6793) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |