| NPI | 1356515464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE LEONID LENDER Medical Director, Owner 617-916-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 152859) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 152859) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2015-08-13 |