| NPI | 1679199012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY STEWART MACOMBER Owner 781-862-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-05-31 |