| NPI | 1942825286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON ANDRE POUNCY CEO 617-980-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-02-06 |