| NPI | 1356370134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL P COCIO Executive Director 617-984-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 112177) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |