| NPI | 1194503474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN FITCH Owner/Psychologist 617-939-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |