| NPI | 1346667466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY R OFFENBERG Owner 617-323-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 118020) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |