| NPI | 1932857885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W SCHAFER Clinic Director 617-852-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |