| NPI | 1609348465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDHI TURNER Senior VP 978-530-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2022-01-06 |