| NPI | 1649356841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN MULLIN Director, Staff Psychologist 617-254-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 6556) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-10-31 |