NPI | 1730951765 |
---|---|
Other Name | CHRIS GALLANT LICSW |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER GALLANT Member 781-223-5774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-24 |
Last Update Date | 2023-10-24 |