| NPI | 1942825286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON ANDRE POUNCY CEO 617-980-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-04-15 |