| NPI | 1801264239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WEINBERG LECLAIRE Owner/Manager 978-409-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 95355) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2022-09-09 |