| NPI | 1225379829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY PROBST Manager Of Billing &Reimbursement 781-693-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |