| NPI | 1720460512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET NANKINGA KULUBYA Family Counsellor 617-610-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA A) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-07-21 |