| NPI | 1780165571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANIE LEONARDO Clinician 774-296-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 9026) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |