| NPI | 1063936078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH B FOX Outpatient Mental Health Therapist 617-921-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 1029742) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |