| NPI | 1700106440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GREYWOLF Owner 508-898-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 227608) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |