| NPI | 1952973323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIAM ROBERT LANE Owner 617-999-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-07-24 |