NPI | 1083742365 |
---|---|
Doing Business As | RIVERFRONT COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | BRUCE LESLIE MERMELSTEIN President 617-527-4610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: MA 4196) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA 4196) |
101YM0800X Counselor, Mental Health (Licence: MA 4196) | |
101YP2500X Counselor, Professional (Licence: MA 4196) | |
101YS0200X Counselor, School (Licence: MA 4196) | |
103T00000X Psychologist (Licence: MA 4196) | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MA 4196) | |
103TC0700X Psychologist, Clinical (Licence: MA 4196) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 4196) | |
103TF0000X Psychologist, Family (Licence: MA 4196) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MA 4196) | |
1041C0700X Social Worker, Clinical (Licence: MA 4196) | |
106H00000X Marriage & Family Therapist (Licence: MA 4196) | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MA 4196) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 4196) | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2013-08-16 |