| NPI | 1114251071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE WASKIEWICZ Executive Secretary 508-678-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 042104058) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |