| NPI | 1487299863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE OPRE CARROLL Owner 617-544-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |