| NPI | 1861612640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET E BREDIN Program Director 617-371-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 251K0000X) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |