| NPI | 1760256168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J MURPHY Practice Owner 617-276-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |