| NPI | 1861801540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA COLEMAN Clinical Associate 617-277-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 219529-2) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |