NPI | 1487390605 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY BRADY Owner 508-330-2747 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2022-05-10 |
Last Update Date | 2022-05-10 |