| NPI | 1174887152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M SMITH Executive Director 508-583-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA B56529) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2013-05-03 |