| NPI | 1265327175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILANA BLATT-EISENGART Owner 781-315-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |