| NPI | 1306199872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY A FORD Intensive Care Coordinator 508-902-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |