| NPI | 1932456712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA DASS-BRAILSFORD President 617-921-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: DC PSY1000499) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: DC PSY1000499) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-27 |