| NPI | 1245317205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JORDAN President CEO 508-983-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MA 4429) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-02-02 |