| NPI | 1568824969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J BIBEAU Counselor 978-884-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 000009609) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |