| NPI | 1336646512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHASEN Managing Partner 617-448-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |