| NPI | 1962867101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYN LATORRE Executive Director 617-894-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L6554) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |