| NPI | 1538374251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN MALKASIAN Owner 508-747-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC 4564) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |