| NPI | 1194840975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MARSHALL Center Director 617-626-9459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-10-24 |