| NPI | 1265797252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HELEN SANFORD Clinical Social Worker 508-830-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1026901) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |