| NPI | 1164718011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHOEBE FULTON TEARE President 781-878-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4952) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |