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