| NPI | 1962833863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SHEA SELCHAN Clinical Director/Partner 617-890-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8546) |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 8947) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2018-03-17 |