| NPI | 1871167023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL CEBAN Owner, Psychotherapist 774-205-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-14 |