NPI | 1114747763 |
---|---|
Doing Business As | RESTORATIVE JOURNEY |
Entity Type | Organization |
Authorized Contact | JULIUS MAXIMO Admin 617-202-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-10-16 |
Last Update Date | 2024-10-16 |