NPI | 1326296963 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN A. OSHLAG Vice President Of Operations 508-860-1163 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 4684) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2008-09-08 |