| NPI | 1689865172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORAN COO 781-895-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 104100000X Social Worker | |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2010-05-24 |