| NPI | 1649086075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE JACQUES Clinical Mental Health Counselor 978-225-3094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-20 |