| NPI | 1609159177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RAYMONDE MUSIAL Owner 978-290-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5019) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |