| NPI | 1184818924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J. SLAGEN Executive Director 781-402-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-06-23 |