| NPI | 1316958093 |
|---|---|
| Doing Business As | MOAK CENTER FOR HEALTHY AGING |
| Entity Type | Organization |
| Authorized Contact | GARY S MOAK Manager 508-898-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-05-06 |