Organization
COMPLEX TRAUMA INSTITUTE LLC
Active
Organization
COMPLEX TRAUMA INSTITUTE LLC
Active
Other names
Complex Trauma Treatment Center Boston
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F SPINAZZOLA PH.D. (MANAGING DIRECTOR)
(617) 872-6391
Entity
Organization
Contact information
Practice address
630 MAIN ST, MELROSE, MA 02176-3127
(617) 548-4123
Mailing address
41 PITMAN AVE, WAKEFIELD, MA 01880-4338
(617) 872-6391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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