| NPI | 1881055242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B TUNEBURG Therapist 1978-687-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 119353) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |