| 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 |