NPI | 1356000178 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY DEVAPRASAD CEO 617-921-1906 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-12-08 |
Last Update Date | 2021-12-08 |