| NPI | 1164771945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY STOLL Executive Director 781-762-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, | |
| 1041C0700X Social Worker, Clinical | |
| 103TS0200X Psychologist, School | |
| 247200000X Technician, Other | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2016-04-29 |