| NPI | 1801266820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SCHMIDT BEVANS Owner 617-651-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7760) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |