| NPI | 1063797892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN HELENA WHALEN Owner 978-677-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 113653) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |