| NPI | 1689909137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE G RUIZ-MELLOTT Owner/CEO 617-459-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 227275) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |