| NPI | 1417340084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN CLEMENS Care Coordinator 978-995-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA none) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |