| NPI | 1154541670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURE LINDOR Clinical Director 617-296-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3902) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |