| NPI | 1912633975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA CHEN Medical Director 617-454-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-09-13 |