| NPI | 1245936186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAEDA CRISP Mental Health Counselor 617-652-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-03 |