| NPI | 1073739801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN CONNORS President 617-909-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 248) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |