| NPI | 1942355904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M. BETANCOURT Executive Director 617-564-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4571) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-06-24 |