| NPI | 1124636840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONI ROWE Mental Health Clinician 978-572-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-06-23 |