NPI | 1992523427 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA WOLEN Owner/Manager 774-203-4246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-10-02 |
Last Update Date | 2024-10-03 |