| NPI | 1508722844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MARC TCHAZOU CEO 774-420-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 102L00000X Psychoanalyst | |
| 103G00000X Clinical Neuropsychologist | |
| 103K00000X Behavior Analyst | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse | |
| 163WC0400X Registered Nurse, Case Management | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2025-12-30 |