| NPI | 1437451382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH NEAL CFO 508-628-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2025-06-23 |