| NPI | 1992567143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA CHRISTOPOULOS Licensed Mental Health Counselor 617-921-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |