| NPI | 1992191985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E GALLAGHER Owner 617-596-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 112152) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |