| NPI | 1710502828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN KELLEY HARRIS Lmhc 774-269-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |