| NPI | 1508240151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY PERNA Owner/President 617-244-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 7172) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |