| NPI | 1023232998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA MARIA COLON Contract Manager 617-427-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-05-04 |