NPI | 1407235286 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY FISHER Program Director 508-638-6066 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1518996354) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |