| NPI | 1568638435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL TRUDEL President 978-537-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MA 2277) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA 2277) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |