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 |