NPI | 1013141993 |
---|---|
Entity Type | Organization |
Authorized Contact | NORA KLARA ILNICZKY Clinical Psychologist 617-894-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 8701) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2009-05-07 |