| NPI | 1578674289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LENROW Executive Director 617-625-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-08-16 |