| NPI | 1558963397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN TUTTLE Sr Director Of Finance 508-993-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |