| NPI | 1164928891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA URTON Therapist 617-396-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |