NPI | 1346667466 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY R OFFENBERG Owner 617-323-2825 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 118020) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |