| NPI | 1083748230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MILLER Executive Director 978-373-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 0581) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-10-15 |