| NPI | 1447500525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY MARIE BERSANI Mental Health Therapist 617-750-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 251S00000X) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |