| NPI | 1568224970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MELLANO Chief Clinical Officer 617-913-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-11-26 |