| NPI | 1801480769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GOODWIN Lmhc 508-591-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |