| Organization Name: | CHARLES WOLFSON DBA ACTIVE COUNSELING ASSOCIATES |
| NPI Number: | 1194886838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES D. WOLFSON (DIRECTOR) |
| Mailing Address: | 43 Hopkinton Rd Westborough |
| State: | MA US |
| Postal Code: | 015812103 |
| Phone Number: | 5083665909 |
| Fax Number: | 5083665909 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 06/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2009 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |