NPI | 1629559059 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE MAY Director Of Clinical Operations 617-254-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2023-04-12 |