| NPI | 1932454352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE K RYAN Owner/Psychologist 508-284-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ME 1334) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ME 1334) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-10-03 |