| NPI | 1518445378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY PACOMBE Owner 617-586-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2023-08-01 |