| NPI | 1710710694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIAN REMUS ONOFREI Member 617-378-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |