| NPI | 1740583327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE BROWN Nurse Administrator 617-353-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 4H8L) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |