| NPI | 1588859698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN K VALLE President 617-257-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: MA 0000W10122) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |