| NPI | 1134924434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA J BIEDERMAN Clinical Social Worker 617-922-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |