| NPI | 1285151415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE HOLOWECKI KELLEY Managing Member 781-825-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 111845) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |