| NPI | 1891157723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL EARLS President 857-228-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MA LMFT 1381) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |