| NPI | 1659024115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON WHITE Licensed Clinical Psychologist 508-603-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |