| NPI | 1861773517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE B MACPHAIL Program Director 978-685-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4381) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |