| NPI | 1396509550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BRIGGS President 617-650-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |