| NPI | 1639893514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA O'BRIEN President 774-930-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-06-03 |