| NPI | 1093942914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADO FRANK HERNANDEZ Co Owner 781-592-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |