| NPI | 1104846476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE ROSS Licensed Psychologist/Director 781-444-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 3976) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-06-15 |