| NPI | 1942848130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A CUMMINS Owner 978-758-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |