| NPI | 1780878678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN BERK Director 781-431-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 3039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 102238) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |