| NPI | 1609306265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WILLIAMS Authorized Official 781-366-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |