| NPI | 1144219551 |
|---|---|
| Doing Business As | MENTAL HEALTH & SUBSTANCE ABUSE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CAROL A. NAGLE CEO 508-730-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4263) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA none) |
| 103TC0700X Psychologist, Clinical (Licence: MA 4263) | |
| 104100000X Social Worker (Licence: MA 4263) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 4263) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 4263) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 4263) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MA 4263) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 4263) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-03-31 |