| NPI | 1518618230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAYNE LUPERON CEO/Clinician 617-785-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QC1800X | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2024-05-20 |