| NPI | 1437487402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE BURNHAM PACKARD Executive Director 617-536-0944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2011-03-29 |