| NPI | 1760153092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANN VENEZIA PHILLIPS Clinical Social Worker 978-304-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |