| NPI | 1720740830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATACHA MALILA CEO 617-470-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172A00000X Driver | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |