| NPI | 1871144238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE CLAUDOMIR Clinical Director 781-437-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-02-16 |