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 |