| NPI | 1801377544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A SULLIVAN President/Director 774-454-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9037) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |