| NPI | 1487068854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NICOLE MCGARVEY Theraputic Mentor 508-847-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |