| NPI | 1770206245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JOHNSON Clincial Social Worker 617-595-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |