| NPI | 1386088896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS KOVACS Owner/Psychologist 617-251-9029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 8852) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |