| NPI | 1376936401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEELA D TALLAMRAJU Chief Executive Mother 978-906-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-04-07 |