| NPI | 1417270380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MUZZY Clinic Director 978-774-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 6563) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |