| NPI | 1205026523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA WALTON Billing Support Analyst 781-734-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2020-02-03 |