| NPI | 1871205559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LYNN SHEPPARD Sole Proprieter 508-561-9559 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |