| NPI | 1487010799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HAYWOOD JENKINS Founder 617-419-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10031) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |