| NPI | 1164557955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE B. GOTSHALK Director Of Clinical Services 617-427-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-08-18 |