| NPI | 1992849301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONA L. TANABAUM President 508-872-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 3783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 103194) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2012-12-12 |