NPI | 1962786004 |
---|---|
Entity Type | Organization |
Authorized Contact | KARIN LEWIS Clinical Director 978-475-1617 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1383) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2011-10-07 |