| NPI | 1447496237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOORE Vice President 508-759-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 160572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1022699) |
| Enumeration Date | 2008-12-28 |
| Last Update Date | 2008-12-28 |