NPI | 1801666136 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA JENN DEMELLO EGAN Clinical Therapist 774-644-1808 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-01-25 |