| NPI | 1396025938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARGARET RAMONDETTA Sole Member 508-697-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 114158) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 114158) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2022-08-04 |