NPI | 1083226518 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIEL JOY SHAPIRO CEO 617-855-5774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
251S00000X Community/Behavioral Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-08-17 |