| NPI | 1114747433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D GUERRA Owner 617-351-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |