Organization
KM COLLABORATIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIA J LAMBERT LICSW (DIRECTOR)
(617) 869-7305
Entity
Organization
Contact information
Practice address
867 BOYLSTON ST FL 5, BOSTON, MA 02116-2774
(617) 869-7305
Mailing address
867 BOYLSTON ST STE 1364, BOSTON, MA 02116-2774
(617) 869-7305
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740417815
NPI
MA
Enumeration date
06/17/2022
Last updated
06/17/2022
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