NPI | 1609233790 |
---|---|
Entity Type | Organization |
Authorized Contact | HANYA HARRIS BLUESTONE Owner/Chief Executive Officer 508-797-7110 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7130) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2021-03-22 |