| NPI | 1477961472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEZRA KENNEY Owner 978-744-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |