| NPI | 1730654070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA JACKSON Director Revenue Cycle Management 617-822-5594 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |