| NPI | 1922043876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GLORIEUX VP Of Finance 617-524-3116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4636) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-07-21 |