| NPI | 1417153347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MCCLELLAN Office Manger 781-729-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 105911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1018803) |
| 101YM0800X Counselor, Mental Health (Licence: MA 105628) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |