| NPI | 1639784705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DOYLE Founder & Executive Director 774-573-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |