| NPI | 1861038473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA OSTROFF Executive Director 617-558-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-02-08 |