| NPI | 1629508171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GREEN REILLY Manager 978-222-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MA 7734) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |