| NPI | 1992867832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA GREENWALD Director 508-473-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |