| NPI | 1891412557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA FLORENCE Office Manager 781-267-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-09-19 |