| NPI | 1851589725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GERSON Vice President 781-861-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MA 32476) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |