| NPI | 1376131698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRAZ LEVKOVICH Owner, Director 617-758-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-03 |
| Last Update Date | 2022-02-14 |