| NPI | 1750261921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY GLICK Owner 978-219-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-10 |