| NPI | 1336733468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE GINSBURG Clinical Social Worker 617-901-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |