| NPI | 1609997667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOHNSON Owner 617-926-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1023920) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 43500) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |