| NPI | 1255488870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CARL BOSS Executive Director 781-727-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5804) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |