| NPI | 1700465564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIN DUFFY Owner/ Clinician 508-746-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |