| NPI | 1164622551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR G REID Director Of Clinical Services 617-516-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-12-17 |