| NPI | 1164598199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R MICHELSON President 978-772-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 101YM0800X Counselor, Mental Health (Licence: MA 1543) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-10-28 |