| NPI | 1083148431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA M KALCKAR Lcsw/Owner 617-899-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 4034) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |