| NPI | 1487004040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERRION LEAH MCGRATH Vice President 508-266-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1-04-1732) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |