| NPI | 1265219620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDDIE Director 617-643-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-10-02 |