| NPI | 1740697523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI LACK Director, Psychologist Art Therapist 781-863-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 7518) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 7518) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 7518) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |