| NPI | 1043544232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MELISSA STUFFLEBEAM Psychology Intern 978-327-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |