| NPI | 1326052317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L CARLSON Managing Partner 508-238-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 99999) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 99999) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 9999999) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA xxxxxxx) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-08-24 |