| NPI | 1831994284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA A BARRY-MENKHAUS Cofounder 508-887-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-04-07 |