| NPI | 1477004034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA VARGAS Executive Director 617-618-9152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7783) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |