| NPI | 1861101859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER GREY TWOMBLY Licensed Mental Health Counselor 978-406-5685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-04-20 |