| NPI | 1023822467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAHEEM JIHAR RICHARDSON Executive/Director 978-790-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |