| NPI | 1689569782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WARNER Assistant Practice Manager 978-275-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 103TC1900X Psychologist Counseling | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |