Organization
TIME OF BUTTERFLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE BONILLA (CEO)
(617) 308-3639
Entity
Organization
Contact information
Practice address
130 DANA AVE APT 2, BOSTON, MA 02136-3431
(617) 308-3639
Mailing address
130 DANA AVE APT 2, BOSTON, MA 02136-3431
(617) 308-3639
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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