| NPI | 1174620686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS VAQUERANO Mental Health Referral Coordinator 617-927-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 113303) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2008-03-21 |