NPI | 1598838781 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDRA ACCORDI Medical Director 617-479-4545 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5182) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 5182) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |