| NPI | 1770920068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MUNZE President 617-858-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4703) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |