| NPI | 1407567308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GALVIN Contracting & Credentialing Manager 508-860-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |