| NPI | 1669532198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH G LEWIS Clinical Director 978-887-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |