| NPI | 1134598543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANNE SPECTER Ap RN 617-849-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 6236) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |