| NPI | 1518533967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE E SHEA Owner 617-633-2918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-05-09 |