| NPI | 1336306182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MINKLE Interim Executive Director 617-524-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |