| NPI | 1649773359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKHILA SRAVISH Licensed Clinical Psychologist 617-642-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2022-02-16 |