| NPI | 1205009453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY L ZAITCHIK Partner 617-965-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA MH4900) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-20 |