| NPI | 1013342773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALYSSA ERBE LEGGETT Owner And Director 617-851-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MA 111254) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |