| NPI | 1992128086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD STREFF Co Director 978-263-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 2084) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |