| NPI | 1770001083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP CLAUDE D'AMOUR President 781-248-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1340) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |