| NPI | 1194934026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADO F HERNANDEZ Owner 781-913-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2026-05-22 |