| NPI | 1831847169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEN PENNEY Founder/CEO 508-714-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2026-07-09 |