| NPI | 1659822989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRIAS Office Manager 508-617-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3752) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |