| NPI | 1881844066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS COLLIGAN Interim Executive Director 617-423-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 0567) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |