| NPI | 1689703704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON S.S. BLANK President 508-359-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT6) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |