| NPI | 1831853605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL MARIE RENNER Owner/Manager/Provider 774-628-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2026-04-15 |