| 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 |