| NPI | 1841666336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LEARY Sr Staff Accountant 617-524-3116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1475185) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |