| NPI | 1699286047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE H CRONIN Manager 774-260-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10159) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-05-15 |