| NPI | 1144616392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON MILLER MEHTA Physician / Manager 508-393-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MA 236180) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |