| NPI | 1871893081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE GOLD Executive Director 617-661-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 0845) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2025-01-29 |