| NPI | 1144774944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRILEE ABELARD Owner/Operator 781-344-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 111153) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |