| NPI | 1770541948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE LESLIE MERMELSTEIN President 617-527-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4196) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 4196) |
| 101YP2500X Counselor, Professional (Licence: MA 4196) | |
| 101YS0200X Counselor, School (Licence: MA 4196) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 4196) | |
| 103TC1900X Psychologist, Counseling (Licence: MA 4196) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MA 4196) | |
| 103TS0200X Psychologist, School (Licence: MA 4196) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 4196) | |
| 106H00000X Marriage & Family Therapist (Licence: MA 4196) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 4196) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 4196) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 4196) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-06-07 |