| NPI | 1518020213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GREEN Director 617-964-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |