| NPI | 1508670928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MEAGHAN JOHNSON Owner 617-987-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-03-13 |