| NPI | 1255848727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY D ARCARA Provider/Owner 617-851-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 363CP0808X) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2021-07-13 |