| NPI | 1447506969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CLARK Office Manager 508-473-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 1052232) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |