| NPI | 1700810025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE GARDNER Business Manager 978-475-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 320) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-03-09 |