| NPI | 1033489109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWA M. CONROY Owner 508-676-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 206747) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |