| NPI | 1881752426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GREEN Director 617-964-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2025-09-11 |