| NPI | 1386973626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. COSTELLO Lmhc, Lmft 781-337-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6230) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |