| NPI | 1043880883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIESHA N WILLIAMS-JEANTY Manager 617-440-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2026-03-31 |