| NPI | 1801256854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BURKE Professional Counselor 978-922-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 105607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 105607) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |