| NPI | 1972243871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHWARYA JHA WEAVER Clinical Psychologist 617-356-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |