| NPI | 1053478107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES UHL Medical Director 508-620-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 5215) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |