| NPI | 1780105395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANNE RYERSON Licensed Mental Health Clonselor 781-249-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 9572) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2021-02-26 |