| NPI | 1205316346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VAN WYCK STRINGHAM President 617-842-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2019-06-24 |