NPI | 1235396342 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY BRADLEY Owner 617-698-0998 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 46623) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2008-05-19 |