| NPI | 1134126865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAURICE COX CEO 617-471-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4337) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MA 0565) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-04-01 |