| NPI | 1891335410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN WATCHORN Therapist/Owner 781-982-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |