| NPI | 1801916176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL D RUCKER Chief Executive Officer 617-523-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 4599) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-12-29 |