| NPI | 1972322816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE LAROCHELLE Occupational Therapist 617-902-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |