| NPI | 1437521275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA BUCKLIN Psychotheraist 617-642-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 118583) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |