NPI | 1275327223 |
---|---|
Entity Type | Organization |
Authorized Contact | KORIN DAYTON Owner/Operator 781-277-0699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-04-07 |
Last Update Date | 2025-04-07 |