| NPI | 1205407525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A PERNA President/Founder 617-431-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |