| NPI | 1033320072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE WELCH Executive Director 617-521-6703 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4140) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-10-22 |