| NPI | 1265501936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNE C DOLAN Clinical Director Owner 781-329-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 105498) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |