| NPI | 1912628652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY LEONARD CEO 774-527-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225A00000X Music Therapist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-03-01 |