| NPI | 1306184247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ELLEN LEWIS Clinical Pyschologist 781-483-3329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 7359) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |