| NPI | 1114230018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLOU SUDDERS President 617-587-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |