| NPI | 1194250290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LINDQUIST Clinical Social Worker 617-779-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: MA 221330) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |