NPI | 1215685292 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR STANLEY JORDAN Chief Financial Officer 508-340-6228 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2022-03-17 |
Last Update Date | 2024-06-18 |