| NPI | 1861024432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LOUIS ROSENSPAN Director 781-408-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |