| NPI | 1962735472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ADLER FAY Clinician 617-600-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1-07-3445) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |