| NPI | 1326708777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WARREN Psychologist 617-681-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2022-01-05 |