| NPI | 1003606575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET NGUYEN Manager 774-250-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-07-18 |