| NPI | 1649254954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M RYAN President 508-830-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 4342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 105196) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |