| NPI | 1851774053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN M FARRELL Manager 617-784-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 246618) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |