NPI | 1215242938 |
---|---|
Entity Type | Organization |
Authorized Contact | EVILINE MELEKA President/Owner/Medical Director 508-880-0544 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 203803) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2013-08-20 |