| NPI | 1508908229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LYTTLE President 508-877-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4389) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-06-12 |