| NPI | 1043758535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA DESSA Np 978-844-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA RN2279827) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |