| NPI | 1720356249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEAN NOWELL President 508-471-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 7226) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |