| NPI | 1043753585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MULCAHY Clincial Director 508-457-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 844) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2022-07-21 |