| NPI | 1053932046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LOU Sole Member And Owner 617-366-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-01-07 |