| NPI | 1588086193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GREEN President 781-641-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 112095) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8829) |
| 106H00000X Marriage & Family Therapist (Licence: MA 1165) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |