NPI | 1912752650 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL SOLOMON Owner/Director 617-202-3565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-17 |
Last Update Date | 2025-09-11 |