| NPI | 1851860696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JAMES TODISCO Owner/President 508-695-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2018-11-23 |