| NPI | 1013311984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRENKEL CEO 617-780-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261Q00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |