NPI | 1851980544 |
---|---|
Entity Type | Organization |
Authorized Contact | CAITLYN DEFIORE Director Client Operations 508-340-1419 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
133V00000X Dietitian, Registered | |
Enumeration Date | 2021-01-16 |
Last Update Date | 2021-01-16 |