| NPI | 1760625602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLIFFORD HAUGHN Owner 508-927-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6313) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2010-03-02 |