| NPI | 1437974847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CALICCHIA Clinical Director 508-934-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-09-29 |