| NPI | 1942660584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY GENTES Sole Proprieter 781-775-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: RI PS01476) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |