NPI | 1992256994 |
---|---|
Former Legal Business Name | SAGE PSYCHOTHERAPY INC. |
Entity Type | Organization |
Authorized Contact | MOLLY DONOVAN President 617-213-6886 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8795) |
Enumeration Date | 2016-10-14 |
Last Update Date | 2025-10-16 |