| NPI | 1356593859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L VALERO A/R Manager 508-996-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 1310119) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |