| NPI | 1972084119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN Z LOBEL Counselor 781-789-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 10524) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 10524) |
| Enumeration Date | 2018-08-26 |
| Last Update Date | 2018-08-26 |