| NPI | 1457135709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH CLARK Psychologist 781-474-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |