| NPI | 1801303623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLEN NEWMAN Clinician/Founder 781-767-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 9732) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 409) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |