| NPI | 1639292956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DODOS Controller 617-332-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2025-09-11 |