| NPI | 1669823084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE VICIERE Director 781-786-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 9220) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-10-25 |