| NPI | 1720130081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY YUKNAT Interim Executive Director 617-566-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MA 4091) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-10-07 |