| NPI | 1841730413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN JAMRON President 774-364-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005792) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |