| NPI | 1336435874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY ONG Psychotherapist 617-249-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 114300) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |