| NPI | 1548028038 |
|---|---|
| Former Legal Business Name | SHINE THERAPY |
| Entity Type | Organization |
| Authorized Contact | KEAVY SMITH Owner 617-784-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-05-07 |