| NPI | 1184590986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN VARTANIAN CEO 508-709-3009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-22 |