| NPI | 1669080610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN JOSE ROBLES GIL ALEMAN Owner 617-784-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2022-07-06 |