| NPI | 1851647473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY MEYER Partner 781-879-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9208) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6249) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |