| NPI | 1801067541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. EUGENE LINDSEY Chief Executive Officer 617-559-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |