| NPI | 1033544846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C PATCH Executive Director 781-929-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7970) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |