| NPI | 1528676590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C POLLIN Owner Provider 508-636-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2025-04-03 |