| NPI | 1063923423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENZO FINORE Owner 617-603-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 10063) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |