| NPI | 1487863494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J HYLTON Executive Director 508-756-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-07-23 |