| NPI | 1578362992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SANTOS-PETERSON Licensed Mental Health Counselor 508-237-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |