| NPI | 1073289971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M LYONS Clinical Social Worker 978-572-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-11-15 |