NPI | 1659950921 |
---|---|
Doing Business As | KINTSUGI COLLABORATIVE COUNSELING |
Entity Type | Organization |
Authorized Contact | YELENA LUKASHEV Owner 617-877-5351 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2021-04-05 |