| NPI | 1124991500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN JAMES FULLERTON Program Director 978-578-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-10-01 |