| NPI | 1225526908 |
|---|---|
| Doing Business As | SSTAR |
| Entity Type | Organization |
| Authorized Contact | LINDA SMITH SCHOFIELD Credentialing Officer 508-324-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |