| NPI | 1376032623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NAKHAI-ASHTIANI Owner/Founder/CEO 617-982-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 119679) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 119679) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-11-19 |