| NPI | 1588392575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLYN POWERRS Licensed Mental Health Counselor 781-462-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |