| NPI | 1821986704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH O'DOR Solo Clinician 781-591-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |