| 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 |