| NPI | 1942398094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PRICE Director 617-745-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110267) |
| 106H00000X Marriage & Family Therapist (Licence: MA 1293) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |