| NPI | 1023362936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L SMITH Operations/Compliance Manager 508-438-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 116662) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |