| NPI | 1528776317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESSICA ANDREA MCLEAN Owner 617-704-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-02-17 |