| NPI | 1265645261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BETTS Executive Director 617-822-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 4D1R) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-02-16 |